ALLISON HOLDEN
Binghamton
Overview
23
23
years of professional experience
6
6
Certifications
Work History
Nurse Case Manager
UHS Wilson Medical Center
Johnson City
10.2023 - Current
- Evaluate patients for medical necessity and determine appropriate admission status (inpatient vs. observation); collaborate with interdisciplinary teams to identify safe and cost-effective alternatives when admission is not indicated.
- Facilitated communication between patients and healthcare providers to enhance service delivery.
- Advocated for community resources and support services to improve patient outcomes.
- Maintained accurate documentation of case management activities, ensuring regulatory compliance.
- Advised physicians on alternative care levels, including skilled nursing and hospice options.
- Identified community resources for housing, transportation, and financial assistance affecting health status.
- Evaluated physician referrals for appropriateness of requested services across various sources.
- Collaborated with payers to secure authorization for necessary services as applicable.
- Participated in continuing education courses on chronic illness management and ethical considerations.
Travel Nurse - Case Manager
Georgetown University
Washington
10.2022 - 07.2023
- Hospitalization throughput, managing LOS, readmissions and working towards raising HCAHPS scores.
- Leader in team work by promoting communication with hospital partners to meet common goals (exceptional health care).
- Demonstrated continued success with problem solving and overcoming barriers to discharge.
- Collaborated with case management for successful discharge planning and utilization review (Interqual and MCG).
- Participated in denial review and appeals.
- Washington DC
Clinical Performance Nurse
Sound Physicians at Our Lady of Lourdes Memorial Hospital
Binghamton
09.2018 - 10.2022
- Utilization Review: Interqual and MCG (EMR: Cerner) in a level one trauma center.
- Continual rounding with emergency room providers to determine if admission criteria is met.
- Working in conjunction with social work to find alternate LOC for patients not meeting admissions criteria.
- Binghamton, NY
Travel Nurse - Case Manager
Washington Hospital Center
Washington
09.2017 - 08.2018
- Screening of new patient admission (appropriateness)
- Utilization review
- Hospital-to-hospital transferee (adherence to EMTALA law)
- Washington, DC
ED Utilization / Case Manager
Boca Raton Regional Hospital
Boca Raton
01.2012 - 01.2017
- Oversaw the care, admissions, discharges and HHA training.
- Lead the agency during the Initial Commission Survey and Accreditation.
- Boca Raton, FL
Director of Patient Care
Community Care Home Health Services
Bohemia
01.2010 - 01.2012
- Bohemia, NY
Case Management / Home Health Nursing
Gerwin Jewish Health System
Commack
01.2006 - 01.2010
- Commack, NY
Case Manager
Brookhaven Memorial Hospital
Brookhaven
01.2003 - 01.2006
- Brookhaven, NY
Education
Bachelor of Science - Registered Nurse
Western Governors University
Salt Lake City, UT07-2026
A.S. - Nursing
Suffolk County Community College
01-2006
Lisenced Practical Nurse -
Eastern Suffolk BOCES
Binghamton, NY, USA01-2003
Georgetown University
Washington, DCSkills
- Patient advocacy
- Care coordination
- Utilization review
- Effective communication
- Interdisciplinary collaboration
- Health education
Certification
New York State Nursing License
References
- Kathie Hine, RN, Supervisor of Clinical Performance, 607-725-9484, kathiehine@gmail.com
- Signa Perkins, MD, Medical Director, 315-491-6792, signa.perkins@gmail.com
- Lasongia Morton, MD, Medical Director, 404-396-6033, lmorton@soundphysicians.com
- Lela Adeoshun, MD, Co-Medical Director, 917-833-6130, lelab@gmail.com
Professional Development
- Crucial Conversations, 01/21
- CPN Advanced, 01/20
- E-Essentials, 01/20
- Foundation of Nursing, 04/19
Timeline
Nurse Case Manager
UHS Wilson Medical Center
10.2023 - Current
Travel Nurse - Case Manager
Georgetown University
10.2022 - 07.2023
Clinical Performance Nurse
Sound Physicians at Our Lady of Lourdes Memorial Hospital
09.2018 - 10.2022
Travel Nurse - Case Manager
Washington Hospital Center
09.2017 - 08.2018
ED Utilization / Case Manager
Boca Raton Regional Hospital
01.2012 - 01.2017
Director of Patient Care
Community Care Home Health Services
01.2010 - 01.2012
Case Management / Home Health Nursing
Gerwin Jewish Health System
01.2006 - 01.2010
Case Manager
Brookhaven Memorial Hospital
01.2003 - 01.2006
Bachelor of Science - Registered Nurse
Western Governors University
A.S. - Nursing
Suffolk County Community College
Lisenced Practical Nurse -
Eastern Suffolk BOCES
Georgetown University